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CURRENT NEWSLETTER: AUGUST 2003 in this issue:

What Did You Say?
           It is difficult to imagine that a blind and deaf older adult has never been tested for ability to hear.  It is even more difficult to accurately describe the expression on Paula’s face when two behind-the-ear hearing aids were fitted. Suddenly, her world changed, and tears flowed down her face as she heard a normal voice for the first time. Without the hearing aids one would have to shout directly into her ears for her to hear. With the hearing aid we found that she could hear eighty percent of the spoken word.  By touching, she was taught to take care of the hearing aids.  Each patient receives instruction on the care of the hearing aid. Amazingly, while we were giving her instruction she expressed that we could speak more softly.   The Luis Braille School for the Deaf and Blind in San Pedro brought Paula Escobar (pictured at right) to us.  The director of this school contacted Fundacion CAMO for help with the possibility of donated hearing aids and testing.  We agreed, and on the 19th of May five patients from the school were brought to us.   All five patients received substantial benefits from the testing and proper fitting of appropriate hearing aids. 

Since April 1, 2003, we have screened more than nine hundred children – virtually all the first graders in Santa Rosa de Copan.   Of these children, thirty percent had to have their ears cleaned due to occlusion of the ear canal by wax and dirt before testing could be done.  One percent had differing levels of hearing loss.  Seven percent had undetected ear infections.   This is the first year that all first graders have been screened.  CAMO is committed to training teachers and parents in early detection of hearing problems. Due to the volume and the tremendous need of this service, we have added one full time assistant to the Audiology Technologist.  Our cost of the screening program is approximately $3.00 per child. 


Contagious
         Honduran doctors and nurses have been watching us.  For the last 10 years, we have been steadfast in our mission to provide doctors and nurses with the physical tools, equipment, education and other resources they need to treat their population.  This was always done within their work schedule and place of governmental hospital employment.  But that is changing. Our volunteerism has become contagious, and these former recipients are no longer standing on the sidelines.   Instead, they have given CAMO one of the greatest compliments they could ever bestow upon us, their willing hearts. These medical professionals have now become volunteers, going out to treat people in villages where their medical specialties do not exist. The specialists are doctors in OB/Gyn, Pediatrics, Eye Surgery, and Internal Medicine, along with nursing staff.   We arrange with the community a school or building we can use for the day, and each doctor sets up a temporary clinic.  Each physician’s goal is to see at least 30 patients.  The first visit had amazing results. 
 
     Eye Surgeon 65 patients (3 patients blind due to cataract which were scheduled for surgery)
     Pediatrician  56 patients (7 children needing emergency nebulization due to pneumonia)
     OB/Gyn 12 patients (7 pap smears)
     Internal Medicine  I38 patients (Medication provided with referrals when necessary)
     Audiologist 44 children given hearing test

The above procedures were accomplished over a 12-hour period in a small poor community.  The mayor and the community helped to identify the patients that needed to be seen.   You would think after 12 hours of seeing this amount of patients, the physicians might be reluctant to do it again. Not so! They came back so excited about their ability to make a difference that they have since visited two other villages and have scheduled a trip every month. They have acquired the “bug” of volunteerism and the satisfaction and a job well done. 


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Look Mom, I can breathe!
             Meet two young men, who 5 years ago would have died.  Wilmer Alexander Mendoza and Jose Alberto Hernandez.  Both young men were diagnosed with Guillain-Barre.

 Wilmer (right) is 17 years old.  On the 6th of May he came to Hospital Regional de Occidente with extreme weakness in his legs and arms. Shortly thereafter, he lost the muscle strength to breathe.  He was placed on one of CAMO’s ventilators and supported by the tubes and supplies provided by CAMO.  This sustained his breathing for one month and 15 days.   His muscles slowly began to work again and today he is breathing on his own and is able to move his hands and feet.   He receives therapy every day. His mother has not left his side, and she is active in his care.  He was never in an Intensive Care, never laid on “American” specialty beds or mattresses, but received plain old-fashioned nursing care.  Wilmer never developed a pressure sore or an infection, although he was in a ward with 30 other men.  As a former Intensive Care nurse and Emergency Room nurse, this is an example of the remarkable care of very dedicated Honduran nurses and doctors.

Jose (left), 19 years old, was at work and attending college when he developed a high fever and general weakness with difficulty breathing.  Soon his legs stopped moving and his arms would not work.  He was brought to Hospital Regional de Occidente and quickly placed on the ventilator, which sustained his life for six months and 4 days.  Today with a smile as wide as his face and breathing on his own, he talks about his experience.  He speaks of his gratitude to the nurses and doctors, and he looks at the ventilator as if it is a dear friend. He says, this machine was my lungs, it saved my life.  He lifts his hand as he points, we smile and I know that no matter how hard the last 10 years of development of CAMO has been it has all been worth it.  Jose also does not have a single pressure sore is undergoing daily physical therapy.  It will be a long process, but he has started moving his arms and legs for the first time in months.


Internship
 
When the new Honduras CAMP facility was built just 6 months ago we never thought that CAMO would be a training program.  But today Honduran college students seek us out for experience working toward their degrees in International Marketing.  We are now providing five months of internship per student, and we rotate students throughout the year.   They spend one month in each area.  The last student is now a full time employee and is working as the assistant in the Audiometry department (pictured at right).


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Imagine ONE enclosed gym for over 1 million people
The City of Santa Rosa de Copan has a population, including suburbs, of 43,000. Of this population, more than forty percent are under the age of twenty-one.  The western one-third of Honduras has over 1 million people, and this entire population does not have a single enclosed gym. Not even the schools have a gym! This is in a region that has a rainy season of up to six months.   The community has been working hard for 11 years to build a public gym and was able to put a roof over this facility two years ago.  The building has the center floor to play basketball, but the rest of the facility is incomplete with mud floors. The estimated cost is $68,000 to finish the electrical wiring, plumbing installation, floors and the walls.   I do not know about your community, but here in Orrville we have eight enclosed gyms for a population of a little more than 8,000.  Children in Honduras need – and deserve -- a safe place to play.  In Santa Rosa we have approximately 17,000 young people who need this facility, and it is estimated that there are 500 street children.  All the schools in the region would use this facility.  The problem is, the need is so great that that the demand on the gym will be overwhelming.  Many of the schools and other volunteers are using the facility and developing programs that can be done in the gym.  We can provide so many activities that will build character and team working concepts that will be vital in the lives of these children and young adults.  Please help us with this project. We would like to see this completed by February 2004.
 



Joy takes hold
Mark Gorman and Jorge have been working closely for the last two and a half years.  Jorge is able to make below-the-knee, above-the-knee and arm prosthetics.  For the next two years he will be trained in orthotics.   The prosthetic laboratory is in its third year of growth of Prosthetics with networking to stateside sponsored educational programs.

The people who come to us have such great needs.  This young lady at age 16 went to visit her sister. She was sitting on a wall, visiting with a cousin, when a car hit the wall. She lost one leg and the other leg had to be amputated in the hospital. At age 19 she came to us in a wheelchair, dependant on her mother for help to navigate the city’s cobblestone streets and sidewalks that have no provisions for those in   wheelchairs.  Through the prosthetics program, a seemingly hopeless situation has changed! Today, the same girl walks unassisted in her home. When she goes outside, she uses crutches to help her on the uneven streets.

One day I asked Jorge about his work. His eyes became wet, and he blinked several times to hold back the tears.  Jorge then started to share the story of  the transformation of then 6-year-old Jose Leopold Rodriquez.  “Jose’s mother brought him to see me after both legs were amputated due to a birth defect and circulatory problem.  Both the child and the mother were crying, for the father did not want the child.  The mother was suffering the pain of a parent who loves her child with all her heart, and at the same time the pain of a wife dealing with rejection by a husband she desired to please.  The father had told them both that they were of no use and a source of his suffering.   Today, two years later, little Jose is 8 and uses prosthetic legs to walk to school every day. He plays with the other children!  More importantly, his father brings him to his appointments for adjustments or repair of his legs.  In his father’s eyes he is no longer a source of disappointment and pain but a source of great joy.”


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Crisis = Opportunity
          I am reading a book about Queen Esther.  In the book it gave the example of a crisis =opportunity.  It made me think about the situation we found ourselves in regarding the Orphanage.
When I received the information that the orphanage we had supported for eight years had serious issues, CAMO immediately looked into the rumors. We found that the children were not gaining weight and had increased infections.  So we looked for a solution, and found support to hire a full-time, college-educated person to do nutritional planning, get the children to the doctors when needed, and monitor proper nutrition.   Within two weeks of this, the children started gaining weight and looking healthier. Some gained up to 2 pounds in 2 weeks.   The results spoke for themselves, but then anonymous calls were made to the nuns stating that they were going to be removed from the orphanage and that CAMO was helping so that we could take it over.   No one ever gave their name, and we do not know what devil would hurt the nuns and the children, but the damage is done, and now the nuns will not allow any outsiders into the orphanage and refuse to have any transparency.   This orphanage cares for 14-28 children at any given time. 
            At the same time the level of care is not at the same standard it has been in the last 8 years, and now our hands are tied.  Three days after this, a request for assistance in a daycare for 90 children came to us.  These children are of poor single working mothers.   The monthly funds for the orphanage are now being used for 90 children, and other funds have been made available for an early stimulation program and for other needs of this very poor daycare center.   The difference is an open door policy; we make daily visits and make sure the center has enough food daily for these children.  So now with the same funds instead of 28 children we are directly helping 90.   The devil loses. 
 



More than Equipment
This project provides the public health systems equipment maintenance department (CENAMA) with a vehicle that gives engineers a mobile workspace.  This vehicle is capable of traveling across the mountainous Honduran terrain, and it provides adequate space for engineers to diagnose and repair medical equipment.  Four biomedical engineers have been traveling throughout Honduras and have been successful in repairing equipment on-site. 
 
Visits Made April 2003 - July 2003
     Choluteca Hospital                      35 different medical equipment repaired 
     Santa Rosa                                 17 different medical equipment repaired
     El Progresso                               28 different medical equipment repaired
     La Ceiba                                    41 different medical equipment repaired
     Total Equipment Recuperated     156 pieces recovered.
 

On average, replacing a piece of medical equipment costs $2,000.  Without repair, none of this equipment served its purpose.  The value is estimated at $312,000.00.   But the value of human life and medical service made possible – this is absolutely immeasurable.   Special thanks to the University of Texas at Austin, Dr. Kenneth Diller, and Rotary Clubs throughout the USA who were involved in the donation of funds for this project.



Neonatal Resuscitation Program
In the United States, all healthcare professionals who care for newborn infants are required to be certified in the Neonatal Resuscitation Program (NRP), a program created by the American Academy of Pediatrics and the American Heart Association to prevent birth asphyxia.  Birth asphyxia (low oxygen to the brain at time of delivery) accounts for approximately 19% of 5 million neonatal deaths that occur worldwide annually; rapid intervention with NRP techniques have been shown to save lives and prevent brain injury in more than a million newborn children each year.  Honduras, along with many other developing countries, does not have a national system for NRP certification.  As a result, children with birth asphyxia suffer from cerebral palsy, mental retardation or even death.  Until recently, this was considered by many to be an acceptable result in Sta. Rosa de Copan.  Due to insufficient resources and inadequate education in NRP, the nurses and doctors responsible for the care of the newborns at Hospital de Occidente were unable to prevent birth asphyxia and its consequences in the vast majority of complicated deliveries.

However, since February 2001 the situation has begun to improve.  Through an invitation from CAMO and local physicians, Susan Edwards, RN, has come to Santa Rosa for 2 weeks every year to begin training nurses who care for newborn infants in NRP.  The program continued in August of 2003 with two additional classes.  Kerri Fitzgerald, MD, and Katie Bucklen, MD, senior pediatric residents from the Children’s Hospital of Pittsburgh spent two weeks in Sta. Rosa training physicians, medical students, nurses and Red Cross Volunteers in NRP and certifying those with most experience to become instructors themselves.  In total, 13 new NRP instructors from various hospitals across western Honduras and as far away as Tegucigalpa were certified, and an additional 7 participants from western Honduras are now certified NRP providers. 

Since Kerri and Katie are no longer needed as instructors, they’ve begun planning an epidemiological assessment of their work.  Future plans include studies of the incidence of birth asphyxia before and after NRP certification becomes the standard of care in Hospital de Occidente.  The hope is to use the data to encourage the Ministry of Health and National School of Medicine to institute mandatory NRP certification for all health care providers who care for newborn children.



KidronFolk Music Festival to return on 9/13/03
The KidronFolk Music Festival returns to the Wesman farm near Kidron, OH for its third year on Saturday, September 13, 2003. This outdoor event will once again be a benefit for the Orrville, OH-based charitable organization Central American Medical Outreach, which provides medical supplies, equipment, training, and services to impoverished Central American countries. The festival has been praised by previous performers Mustard’s Retreat, Alice Peacock, and Connie Kaldor for its unique, warm, and intimate atmosphere. Set in the beautiful rolling hills of Wayne County, KidronFolk 2003 will be headlined by the critically acclaimed Indiana singer/songwriter and Philo recording artist Carrie Newcomer. Ms. Newcomer, in the middle of an extensive tour following the release of her definitive CD “The Gathering of Spirits,” is recognized for delivering intelligent, passionate songs with a rich, warm voice that has been characterized as being “…as dark and luscious as Godiva chocolate.” Joining Carrie on the impressive KidronFolk bill is national folk artist Darryl Purpose, known for his thoughtful narrative lyrics and intricate guitar work, along with popular northeast Ohio musician Jon Mosey with his bluegrass group “The Valley Mountain Boys,” and humorous songwriter Tim Wallace. Completing the lineup is the award winning fiddle group “River Crossing,” showcasing the amazing talents of young sisters Amanda and Myra Morrison, and local favorites Tim Shue and David “Mandolin” Miller. In addition to this fabulous collection of onstage performances, KidronFolk 2003 will also feature a series of workshops conducted by Newcomer, Purpose, Mosey, and Kelly Fleming. A food vendor will be on site throughout the day for the purchase of delicious food items such as Italian sausage, chicken breast, and steak sandwiches, hot dogs, French fries, and assorted beverages. Ticket prices for 2003 have been reduced, and will include a family package. Ticket information is available from the festival website at www.kidronfolk.com, or by contacting the event promoters at 330-857-4820. 


Smiles tell the story of Rural School receiving help
When school is out in the USA, the children have used crayons and pencils that often times would be discarded.  Thanks to interested teachers and good-hearted children, we are able to have ongoing supplies for the poor school.  Also, vacation bible school groups have been helping with the school projects.   This year we shipped more than 100 large boxes of school supplies to Honduras.  These photos show the rural areas.  You can also see the children who are receiving this help. 
 



Endowment Camo Fund
All the programs discussed in this newsletter are established programs. The CAMO funds with the Greater Wayne County Foundation (GWCF) will help to secure the future of all these programs. To make donations to the Fund, make checks payable to the Greater Wayne County Foundation, please note in the memo area of your check "Benefit of CAMO Fund". Please mail your checks to Greater Wayne County Foundation, P.O. Box 201, 133 S Market Street, Wooster OH 44691. For questions about this fund, feel free to call Diane Gordon at the GWCF: 330-262-3877 or Kathy Tschiegg at the CAMO office.

 
TOGETHER WE CAN MAKE A DIFFERENCE
Please continue to support us with your prayers and gifts. Please don't forget us.
This newsletter is only being sent to supporters of Central American Medical Outreach. If you know of someone who would he interested in our projects please share this newsletter.

If you are interested in speaking for CAMO, please let us know. We have a Power Point program computerized with music. The song was composed and sung by local talent Becca Rossiter. If you need a program for your group or club, call the office at 330-683-5956.



Calendar of events:

August 21 -- Presentation: Orrville Exchange Club
August 25 -- Presentation: Wooster Rotary
September 9 -- Presentation: Shady Side Women Club
September 6-11 -- Wayne County Fair (Booth), Wooster
September 13 -- KidronFolk  Festival, Kidron
September 14 -- Presentation: North Springfield Presbyterian Church, Akron
September 15 -- Loading of the 48 foot container for October teams
September 16 -- Presentation: Orrville Rotary
September 20 -- CAMO Board Meeting 10:00 AM
October 1 -- Closing doors of container
October 2-November 19 -- Director in Honduras
October 15 -- Dispatch container to Honduras
October 24-26 -- Presentation: Project Honduras
October 26-November 9 -- Teams to Honduras
 

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